Provider Demographics
NPI:1598725368
Name:GER, JAMES Y (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:Y
Last Name:GER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3791 KATELLA AVE
Mailing Address - Street 2:#108
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3105
Mailing Address - Country:US
Mailing Address - Phone:562-431-3521
Mailing Address - Fax:562-431-2070
Practice Address - Street 1:3791 KATELLA AVE
Practice Address - Street 2:#108
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3105
Practice Address - Country:US
Practice Address - Phone:562-431-3521
Practice Address - Fax:562-431-2070
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA36104207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A361040Medicaid
CA00A361040Medicaid
A84853Medicare UPIN